Clinical significance of serum CA125 values in patients with cancers of the digestive system

Am J Med Sci. 1986 Jul;292(1):30-4. doi: 10.1097/00000441-198607000-00006.

Abstract

A study of 347 patients with gastrointestinal diseases revealed elevation of CA125 in sera of 63% of patients with pancreatic carcinoma, 46% of patients with carcinoma of the biliary tract, 40% of patients with liver carcinoma and 11-37% of patients with other carcinomas. All of the patients with acute pancreatitis, chronic pancreatitis, cholelithiasis, and peptic ulcer had normal CA125 values, but 35% of patients with liver cirrhosis and 10% of patients with chronic active hepatitis had elevated values. Patients with disseminated carcinomas had significantly higher levels than patients with localized carcinomas. CA125 did not significantly correlate with CA19-9 or carcinoembryonic antigen in patients with pancreatic carcinoma. Ninety-seven percent of patients with pancreatic carcinoma were defined as being positive when both serum CA125 and CA19-9 were evaluated. These results indicate that CA125 is useful for differentiating pancreatic carcinoma from chronic pancreatitis, especially when supplemented with CA19-9.

Publication types

  • Comparative Study

MeSH terms

  • Antigens, Neoplasm / immunology*
  • Antigens, Surface / immunology
  • Antigens, Tumor-Associated, Carbohydrate
  • Carcinoembryonic Antigen / immunology
  • Colonic Neoplasms / immunology
  • Colonic Neoplasms / pathology
  • Gastrointestinal Diseases / immunology
  • Gastrointestinal Neoplasms / immunology*
  • Humans
  • Liver Diseases / immunology
  • Pancreatic Diseases / immunology
  • Pancreatic Neoplasms / immunology
  • Pancreatic Neoplasms / pathology
  • Stomach Neoplasms / immunology
  • Stomach Neoplasms / pathology

Substances

  • Antigens, Neoplasm
  • Antigens, Surface
  • Antigens, Tumor-Associated, Carbohydrate
  • Carcinoembryonic Antigen